PC707 Module 5 Exam Questions With Correct Answers

Describe a migraine headache - Answer Unilateral, throbbing, pulsatile, lasts 4-72 hours, includes nausea and vomiting, light sensitivity, may have auras, more common in women, and genetically linked. There are migraine variants that include focal neurologic findings Describe a tension headache - Answer Most common headache; treated effectively with NSAIDs Describe a cluster headache - Answer "Ice pick headache", unilateral, severe pain behind one eye, nasal congestion with rhinorrhea, occur in clusters over weeks to months, often at night, more common in men and blacks Describe a rebound headache - Answer Occur due to overuse of medications to treat headache pain. The medication causes worsening of the pain. Treatment entails discontinuing all pain medications What medications are used for abortive treatment of migraines? - Answer Triptans, Ergots, analgesics, NSAIDs, antiemetics, combination products What are the indications for prophylactic migraine treatment? - Answer >2 headaches per month, attacks last >24 hours, cause major disruption in ADLs for 3+ days a month, abortive therapies fail or are overused, use of abortive medications 2x+ per week What medications are used for prophylactic treatment of migraines? - Answer TCAs, BBLs, triptans, AEDs (Divalproex) Describe Serotonin 1B/1D receptor agonists - Answer - Sumatriptan (Imitrex) - causes intracerebral vasoconstriction -Used for abortive migraines - Can cause chest tightness - Teratogenic - Do not take with ergots or other triptans